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Organization

LONG ISLAND SPECIALIST PEDIATRICS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YIPING GENG MD (PRESIDENT)
(718) 353-7265
Entity
Organization

Contact information

Practice address
13304 41ST AVE # 1A, FLUSHING, NY 11355-3629
(718) 353-7265
(718) 353-7267
Mailing address
13304 41ST AVE # 1A, FLUSHING, NY 11355-3629
(718) 353-7265
(718) 353-7267

Taxonomy

Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
208000000X
Pediatrics Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02600186
NY
Enumeration date
06/22/2007
Last updated
09/11/2025
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